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Entity *

Personnel *

Personal Protective Equipment *

Safety Data Sheets *

Legislative Reference *

Person responsible for SWMS compliance: *

Date SWMS received: *

What measures are in place to ensure SWMS compliance? *

SWMS reviewed by: *

Date SWMS reviewed: *

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Demolition of load-bearing structure	Diving work	Likely to involve distrubing asbestos
Risk of a person falling more than 3 metres	Temporary load-bearing support for structural alterations or repairs	Tilt-up or precast concrete elements
Use of explosives	Work in an area that may have a contaminated or flammable atmosphere	Work in an area with movement of powered mobile plant
Work in areas with artificial extremes of temperature	Work in or neara shaft or trench deeper than 1.5 m ora tunnel	Work on a telecommunication tower
Work on or neara confined space	Work on or near chemical, fuel or refrigerant lines	Work on or near energised electrical installations or services
Work on or near pressurised gas mains or piping	Work on or near water or other liquid that involves a risk of drowning	Work on, in oradjacent to a road, railway, shipping lane or other traffic corridor in use by traffic other than pedestrians